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C-1359 - What to analyse and report in imaging of gallbladder wall thickening?

M. Ifrosa1, V. Munteanu1, C. Dumitrescu1, M. Boros2, I. Lupescu1; 1 Bucharest/RO 2 BUCHAREST/RO Type: Educational Exhibit
Area of Interests: Abdomen, Biliary Tract / Gallbladder
Imaging Techniques: MR, Ultrasound, CT
Procedures: Education, Contrast agent-intravenous
Special Focuses: Calcifications / Calculi, Inflammation, Neoplasia
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Learning objectives: 1. To describe and illustrate the radiological features of the various clinical entities that cause thickening of the gallbladder wall. 2. To list the key points used to establish an imaging diagnosis adapted to every pathology 3. To recognize differential diagnosis of gallbladder wall-thickening [...]

Background: A. GALLBLADDER (GB) ANATOMY ( Fig. 1  )     - located in the cystic fossa on the visceral face of the liver between segments IV and V  - role of tank: length = 7-10 cm,                       width = 3 cm,    [...]

Findings and procedure details:  In our institute, the patients with clinically suspected of gallbladder wall lesion we have used: US as the first imaging technique. CT was the second choice and an excellent complement for US used in complex cases to exclude alternative diagnosis and for the evaluation of the main compl[...]

Conclusion: Gallbladder wall-thickening is a frequent radiologic finding but an appropriate interpretation of imaging characteristics represents a decisive element in establishing the diagnosis.                                 &nb[...]

Personal information: Dr. Mia Madalina Ifrosa- radiology resident Prof.Dr.Ioana Lupescu Radiology Medical Imaging and Interventional Radiology Department, Fundeni Clinical Institute, University of Medicine and Pharmacy "Carol Davila"- Bucharest

References: [1] van Breda Vriesman AC, Engelbrecht MR, Smithuis RHM, Puylaert JBCM. Diffuse Gallbladder Wall Thickening: Differential Diagnosis. AJR:188, February 2007 [2] Spence SC, Teichgraeber D, Chandrasekhar C. Emergent right upper quadrant sonography. J Ultrasound Med. 2009; 28:479-96   [3] Barbosa[...]

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